%0 Journal Article
%T Factors affecting stroke pre-hospital delay behavioral intention among community residents: A path analysis.
%A Tan Y
%A Sun X
%A Qin F
%A Cai Y
%J Appl Nurs Res
%V 78
%N 0
%D 2024 Aug
%M 39053993
%F 1.847
%R 10.1016/j.apnr.2024.151820
%X <B>BACKGROUND: </B>Pre-hospital delay is the major cause of stroke treatment delay, and behavioral intention is considered to be the most direct predictor of behavior. Therefore, to effectively reduce stroke pre-hospital delay, it is essential to further understand the relationship between stroke pre-hospital delay intention (SPDBI) and its social-psychological influencing factors, namely personality traits, social support and coping style.<BR><B>OBJECTIVE: </B>This study aims at examining the relationships among personality traits, coping style, social support, and SPDBI.<BR><B>METHODS: </B>A cross-sectional, self-administered questionnaire was distributed to 845 residents. The content of the questionnaire included demographic information, the knowledge of "Stroke 120", Ten-Item Personality Inventory-Chinese version, Simplified Coping Style Questionnaire, Perceived Social Support Scale and SPDBI Scale. Path analysis was used to investigate the relationship among SPDBI and its psychosocial influencing factors.<BR><B>RESULTS: </B>The final path model showed a good fit to the data (χ2/df = 2.981, RMSEA = 0.048, GFI = 0.936, CFI = 0.941). Extroversion (β = 0.106), positive coping (β = -0.110), negative coping (β = 0.150) and the knowledge of "Stroke 120" (β = -0.152) had only direct effects on SPDBI. While agreeableness (β = 0.113), openness (β = -0.121) and social support (β = -0.118) had direct effects on SPDBI, they also had indirect effects (β = -0.009; -0.022; -0.049) on SPDBI though positive coping.<BR><B>CONCLUSIONS: </B>Adequate social support and positive coping of health threat may reduce residents' SPDBI. Meanwhile, the interventions to reduce SPDBI should take personality differences into consideration.